Active NPI
Jeffrey a. Schatz
- Chiropractor
- Carlyle, IL
National Provider Identifier
1386945210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038004879
- Legal business name
- JEFFREY A. SCHATZ
- Practice address
- 18209 Eula Mae Pkwy
Carlyle, IL 62231-6407 - Phone
- (618) 594-3671
- Fax
- (618) 594-8058
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey A Schatz, DC
- Title
- Owner
- Phone
- (618) 594-3671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038004879 | Primary |
Addresses
Primary practice location
18209 Eula Mae Pkwy
Carlyle, IL 62231-6407
Mailing address
18209 Eula Mae Pkwy
Carlyle, IL 62231-6407
Phone (618) 594-3671
Other names 1
- Med Plus Physical Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140414000504 | IL | Part B Supplier - Clinic/Group Practice | 7214169879 |
Receives reassigned benefits from 7 practitioners Practice locations: Carlyle, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Carlyle, IL
- NPI 1578585634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407283200000",
"number": "1386945210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18209 EULA MAE PKWY",
"city": "CARLYLE",
"state": "IL",
"postal_code": "622316407",
"telephone_number": "618-594-3671",
"fax_number": "618-594-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18209 EULA MAE PKWY",
"city": "CARLYLE",
"state": "IL",
"postal_code": "622316407",
"telephone_number": "618-594-3671",
"fax_number": "618-594-8058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY A. SCHATZ",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2014-08-06",
"status": "A",
"authorized_official_last_name": "SCHATZ",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-594-3671",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": "038004879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Med Plus Physical Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carlyle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.